Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia

BACKGROUND AND OBJECTIVE: HELLP syndrome is a serious presentation of pre-eclampsia and eclampsia during pregnancy and its diagnosis is difficult because of lack of specific features. This syndrome is associated with prenatal and neonatal morbidity and mortality. The aim of the present study was to...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Z Bouzari, SH Yazdani, M Haghshenas, M Javadian, Z Shirkhani, M Memarian
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2011
Materias:	hellp syndrome pre-eclampsia eclampsia maternal complication neonatal complication Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a9b2fed2daa54c70817ae6078d2a3b6f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a9b2fed2daa54c70817ae6078d2a3b6f
record_format	dspace
spelling	oai:doaj.org-article:a9b2fed2daa54c70817ae6078d2a3b6f2021-11-10T08:56:58ZComparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia1561-41072251-7170https://doaj.org/article/a9b2fed2daa54c70817ae6078d2a3b6f2011-11-01T00:00:00Zhttp://jbums.org/article-1-3925-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: HELLP syndrome is a serious presentation of pre-eclampsia and eclampsia during pregnancy and its diagnosis is difficult because of lack of specific features. This syndrome is associated with prenatal and neonatal morbidity and mortality. The aim of the present study was to compare the maternal and neonatal outcomes of HELLP syndrome with preeclampsia in Yahyanejad hospital (Babol, Iran) in the past ten years.METHODS: This cross-sectional study was performed on all patients with pre-eclampcia/eclampcia who were hospitalized in Yahyanejad hospital during 10 years. Primary data, clinical and laboratory data, prenatal and maternal complications included (cesarean section, placental abruption, need to blood transfusion, liver hematoma, pulmonary edema, acute renal failure, DIC, brain hematoma and infection, intra-abdominal hemorrhage, ARDS and maternal mortality) and neonatal complications included (preterm neonates, IUGR, NICU admission and neonate mortality) were compared.FINDINGS: In this study, from 445 patients who were evaluated, 361 patients (81.3%) with mild preeclampsia, 83 patients (18.7%) with severe pre eclampsia and 1 (%0.2) with eclampsia were hospitalized in primary diagnosis, that 12 patients (2.7%) had HELLP syndrome symptoms. Cases of placental abruption, liver hematoma, pulmonary edema, need to blood transfusion, acute renal failure, DIC and maternal mortality in patients with HELLP syndrome was significant in compared to preeclampsia (p<0.05). Neonatal complications included preterm neonates, IUGR, NICU admission in patients with HELLP syndrome were significant in compared to preeclampsia (p<0.05). Also no case of brain hemorrhage and infection, ARDS, intra-abdominal hemorrhage, IUFD and neonatal mortality was reported.CONCLUSION: According to the results of this study, maternal and fetal complications in patients with HELLP syndrome can be prevented and this could be result of early diagnosis and appropriate management.Z Bouzari,SH Yazdani,M Haghshenas,M Javadian,Z ShirkhaniM MemarianBabol University of Medical Sciencesarticlehellp syndromepre-eclampsiaeclampsiamaternal complicationneonatal complicationMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 13, Iss 6, Pp 52-58 (2011)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	hellp syndrome pre-eclampsia eclampsia maternal complication neonatal complication Medicine R Medicine (General) R5-920
spellingShingle	hellp syndrome pre-eclampsia eclampsia maternal complication neonatal complication Medicine R Medicine (General) R5-920 Z Bouzari, SH Yazdani, M Haghshenas, M Javadian, Z Shirkhani M Memarian Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia
description	BACKGROUND AND OBJECTIVE: HELLP syndrome is a serious presentation of pre-eclampsia and eclampsia during pregnancy and its diagnosis is difficult because of lack of specific features. This syndrome is associated with prenatal and neonatal morbidity and mortality. The aim of the present study was to compare the maternal and neonatal outcomes of HELLP syndrome with preeclampsia in Yahyanejad hospital (Babol, Iran) in the past ten years.METHODS: This cross-sectional study was performed on all patients with pre-eclampcia/eclampcia who were hospitalized in Yahyanejad hospital during 10 years. Primary data, clinical and laboratory data, prenatal and maternal complications included (cesarean section, placental abruption, need to blood transfusion, liver hematoma, pulmonary edema, acute renal failure, DIC, brain hematoma and infection, intra-abdominal hemorrhage, ARDS and maternal mortality) and neonatal complications included (preterm neonates, IUGR, NICU admission and neonate mortality) were compared.FINDINGS: In this study, from 445 patients who were evaluated, 361 patients (81.3%) with mild preeclampsia, 83 patients (18.7%) with severe pre eclampsia and 1 (%0.2) with eclampsia were hospitalized in primary diagnosis, that 12 patients (2.7%) had HELLP syndrome symptoms. Cases of placental abruption, liver hematoma, pulmonary edema, need to blood transfusion, acute renal failure, DIC and maternal mortality in patients with HELLP syndrome was significant in compared to preeclampsia (p<0.05). Neonatal complications included preterm neonates, IUGR, NICU admission in patients with HELLP syndrome were significant in compared to preeclampsia (p<0.05). Also no case of brain hemorrhage and infection, ARDS, intra-abdominal hemorrhage, IUFD and neonatal mortality was reported.CONCLUSION: According to the results of this study, maternal and fetal complications in patients with HELLP syndrome can be prevented and this could be result of early diagnosis and appropriate management.
format	article
author	Z Bouzari, SH Yazdani, M Haghshenas, M Javadian, Z Shirkhani M Memarian
author_facet	Z Bouzari, SH Yazdani, M Haghshenas, M Javadian, Z Shirkhani M Memarian
author_sort	Z Bouzari,
title	Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia
title_short	Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia
title_full	Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia
title_fullStr	Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia
title_full_unstemmed	Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia
title_sort	comparison of pregnancy and neonatal outcomes in hellp syndrome and preeclampsia
publisher	Babol University of Medical Sciences
publishDate	2011
url	https://doaj.org/article/a9b2fed2daa54c70817ae6078d2a3b6f
work_keys_str_mv	AT zbouzari comparisonofpregnancyandneonataloutcomesinhellpsyndromeandpreeclampsia AT shyazdani comparisonofpregnancyandneonataloutcomesinhellpsyndromeandpreeclampsia AT mhaghshenas comparisonofpregnancyandneonataloutcomesinhellpsyndromeandpreeclampsia AT mjavadian comparisonofpregnancyandneonataloutcomesinhellpsyndromeandpreeclampsia AT zshirkhani comparisonofpregnancyandneonataloutcomesinhellpsyndromeandpreeclampsia AT mmemarian comparisonofpregnancyandneonataloutcomesinhellpsyndromeandpreeclampsia
_version_	1718440317288448000

Comparison of Pregnancy and Neonatal Outcomes in HELLP Syndrome and Preeclampsia

Ejemplares similares